KAY BARTON

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KAY BARTON

• Health Improvement Strategy
• Scottish Government

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HEALTH IMPROVEMENT PART OF THE JIGSAW

• Public Service Reform agenda
• Refreshing performance frameworks
• Outcome-focused
• Linked to spending plans
• Acknowledging different accountability
  arrangements

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SCOTTISH GOVERNMENTS5 STRATEGIC OBJECTIVES

• Wealthier and Fairer
• Smarter
• Safer and Stronger
• Greener
• Healthier

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HEALTHIER SCOTLAND

• Help people to sustain and improve their health,
  especially in disadvantaged communities, ensuring
  better, local and faster access to health care

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Improving health, especially in disadvantaged
communities

• Wider factors underpinning health and health
  inequalities
• So multi-agency approach needed
• Anticipate and prevent ill health
• Influence health-related behaviours
• Access to services and opportunities

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LOCAL GOVERNMENT

• A new relationship with central government
• in which we work in partnership, recognised
  local governments central role in the governance
  of Scotlandless prescription from central
  Government and local government has greater
  freedom to exercise its responsibilities
• John Swinney, June 2007

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LOCAL GOVERNMENT cont.

• Focus on accountability for outcomes
• Less central oversight of local delivery
• Outcome agreements from 2008-09
• Based on experience of pathfinders and elsewhere
• Improving local performance systems

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NHS PERFORMANCE MANAGEMENT

• Based on key outcomes and agreed priorities
• Short, focused local delivery plans
• Targets sit below outcomes
• Accountability and review by Ministers

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VOLUNTARY AND COMMUNITY SECTOR

• Critical to improving health and reducing
  inequalities
• Outcomes must be aligned with funders priorities
• Need clear understanding on both sides of what is
  to be delivered

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DELIVERING HEALTH IMPROVEMENT

• High priority for Community Planning Partnerships
• Key role of Community Health Partnerships
• Joint health improvement plans

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AIMS OF THIS REVIEW

• Underpin joint delivery of national high-level
  outcomes
• Shared priorities
• Identifying unique contributions to outcomes of
  specific sectors
• Aligning indicators, public reporting and
  performance management approaches

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REVIEW ACTIVITIES SO FAR

• Cross-sector Steering Group
• NHS reviewing health improvement targets in HEAT
• Local authorities consultation and link to
  outcomes approach
• Voluntary and community sector outcomes and
  evaluation, with SCDC/LEAP